NHÂN HAI TRƯỜNG HỢP BỆNH GIẢM ÁP MỨC ĐỘ NẶNG ĐƯỢC CẤP CỨU, VẬN CHUYỂN VÀ ĐIỀU TRỊ THÀNH CÔNG TẠI BỆNH VIỆN QUÂN Y 175

Hồng Đinh Văn; Chung Nguyễn Cảnh; Thảo Trần Thị Thanh

Keywords:

Decompression illness, Emergency Air Transport

Abstract

Decompression illness (DCI) is a systemic disease and common in divers, barometric workers, astronauts and pilots. The pathogenetic mechanism is the formation of “bubbles”, which grow in organs and vessels due to the rapid reduction of pressure in the body’s surroundings. This disease is usually divided into 2 types: Type I - mild, including skin and musculoskeletal manifestations, and Type II - severe, including neurological, inner ear and cardiopulmonary manifestations. Diagnosis of DCI is based mainly on historical and clinical symptoms, without specific tests. High-dose oxygen breathing is the best first aid and thorough treatment is hyperbaric oxygen therapy. In recent time, the Air Emergency Team of Military Hospital 175 has provided emergency care and successfully transported 2 fishermen with severe decompression illness due to deep diving from Phan Vinh island to the mainland. After 10 days of treatment, both patients fully recovered and were discharged.

References

Aqua Med, Decompression sickness, https://www.aqua-med.eu / en/medicine/service/medical-articles/ medizinische-artikel/decompression-sickness/

Diana Marie Barratt, Paul G. Harch, Keith Van Meter, Decompression illness in divers: A review of the literature, The Neurologist 8:186–202, 2002.

Eduardo Rajdl N., Air transport: Basic and clinical aspects, REV. MED. CLIN. CONDES - 2011; 22(3) 389 – 396

Himanshu Khurana, Yatin Mehta, and Sunil Dubey, Air medical transportation in India: Our experience, J Anaesthesiol Clin Pharmacol (2016), 32(3): 359–363

Kay Tetzlaff, Erik S. Shank, Claus M. Muth, Evaluation and management of decompression illness - an intensivist’s perspective, Intensive Care Med (2003) 29:2128–2136 DOI 10.1007/ s00134-003-1999-1

Laurens E. Howle, Paul W. Weber, Ethan A. Hada, Richard D. Vann, Petar J. Denoble, The probability and severity of decompression sickness, PLoS ONE (2017) 12(3): e0172665. https://doi. org/10.1371/journal.pone.0172665

Loyd JW, Swanson D, Aeromedical Transport, StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020-. 2019 Jun 16, PMID: 30085528

Ming Geng, Luting Zhou, Xiaohong Liu, Peifeng Li, Hyperbaric oxygen treatment reduced the lung injury of type II decompression sickness, Int J Clin Exp Pathol 2015;8(2):1797- 1803 www.ijcep.com /ISSN:1936-2625/ IJCEP0004651

Neal W. Pollock, Dominique Buteau, Updates in decompression illness, Emerg Med Clin N Am 35 (2017) 301–319 http://dx.doi.org/10.1016/j. emc.2016.12.002

Pierre Louge, Emmanuel Gempp, Michel Hugon, MRI features of spinal cord decompression sickness presenting as a Brown-Sequard syndrome, Diving Hyperb Med. 2012 Jun;42(2):88- 91.

Wg Cdr MC Joshi, Gp Capt RM Sharma, Aero-medical Considerations in Casualty Air Evacuation (CASAEVAC), MJAFI 2010; 66 : 63-65.